Preoperative Care

Latest Issue of OR Manager
October 2018

Effect of preop patient-centered surgical wellness program

Editor's Note In this study, a preoperative, patient-centered wellness program significantly reduced hospital acquired infections in surgical patients at an academic medical center. A total of 12,396 surgical patients were given a wellness bundle in a roller bag during preoperative screening. The bundle included chlorhexidine bath solution, immuno-nutrition supplements, an…

Read More

By: Judy Mathias
October 11, 2018
Share

Timing of preop blood testing not linked to postop morbidity, mortality

Editor's Note In patients with American Society of Anesthesiologists physical status I and II, the risk of 30-day morbidity and mortality was similar for those who had blood testing shortly before surgery and those whose testing was done up to 2 months before surgery, this study finds. Of 235,010 patients…

Read More

By: Judy Mathias
October 8, 2018
Share

Increase in health problems up to 2 years after arthroscopic hip surgery

Editor's Note Major clinical comorbidities increased substantially in patients after elective arthroscopic hip surgery in this study by Duke researchers. These comorbidities have been overlooked in the past by major studies evaluating the procedure’s benefits and risks, the researchers say. In this analysis of 1,870 patients (mean age 32) in…

Read More

By: Judy Mathias
October 1, 2018
Share

Study: Lean methods improve first case on-time starts

Editor's Note In this study, implementation of Lean interventions to redesign the workflow in the preoperative holding area of a large urban medical center was linked to significantly improved rates of elective first case on-time starts. Data from 23,891 surgical procedures performed over 415 days were examined−86 days before, 35…

Read More

By: Judy Mathias
August 6, 2018
Share

Cesarean section ERAS pathway reduces recovery time, improves outcomes

Editor's Note A new enhanced recovery after surgery (ERAS) pathway has been developed and implemented at the University of Alabama at Birmingham to enhance recovery after cesarean delivery. Updated guidelines for the ERAS pathway include: Intake of water and clear sports drinks before surgery to keep mother hydrated. Walking after…

Read More

By: Judy Mathias
August 3, 2018
Share

How do you handle social determinants?

Social and demographic factors play a huge role in any patient’s overall health and recovery from surgery. When treating patients who lack health insurance, family support, or language/literacy skills—among many other possible disadvantages—providing safe patient care can extend well beyond clinical aspects. OR managers and their staffs may take on…

Read More

By: Elizabeth Wood
July 23, 2018
Share

Change PAT protocols to improve patient throughput

Preadmission testing (PAT) has been shown to reduce day-of-surgery delays and unnecessary testing that drive up the cost of healthcare. But it takes time and patience to put an effective PAT process in place. Sharon Ulep, MBB, CMCA, CPHQ, principal for healthcare strategy and consulting, Plante Moran, Southfield, Michigan, who…

Read More

By: Cynthia Saver, MS, RN
July 23, 2018
Share

PAT makeover enhances patient and provider satisfaction

Not all hospitals have a preadmission testing (PAT) process, and even when they do, communication breakdowns and inefficiencies can make the process ineffective. Recognizing that the PAT process at Yale New Haven Hospital, New Haven, Connecticut, needed a makeover was the first step in launching an improvement project that led…

Read More

By: Cynthia Saver, MS, RN
July 23, 2018
Share

Opioid prescriptions drop after orthopedic team changes protocol

Can hospital leaders and surgeons partner to reduce opioid use while maintaining high patient satisfaction scores? Leaders at OSS Orthopaedic Hospital in York, Pennsylvania, answer that question with a yes. Meghan McNelly, PharmD, MHA, FACHE, who was director of pharmacy at OSS when the opioid-reduction project started, says that from…

Read More

By: Cynthia Saver, MS, RN
May 18, 2018
Share

More cases start on time after nurses change workflow

Among the many variables that influence on-time starts of surgical cases are the arrival times of patients and staff, as well as the verifications and documentation required before patients are brought to the OR. Increasing on-time starts was a key initiative at Fox Chase Cancer Center. By exploring the influences…

Read More

By: Julie Dameus, MBA, BSN, RN
May 18, 2018
Share
Live chat by BoldChat